Individual
RAHUL S RAZDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7601 PIONEERS BLVD, LINCOLN, NE 68506
(402) 484-6677
(402) 484-4476
Mailing address
7601 PIONEERS BLVD, LINCOLN, NE 68506
(402) 484-6677
(402) 484-4476
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25605
NE
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25605
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098991005
AMI MEDICARE PIN
NE
01
—
45040
BCBS
NE
05
—
47078180813
—
NE
01
—
NA1330020
SMI MEDICARE PIN
NE
Enumeration date
04/27/2009
Last updated
04/25/2012
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